Power of Attorney

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Your Power of Attorney

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DURABLE POWER OF ATTORNEY FOR FINANCIAL MANAGEMENT

THIS DURABLE POWER OF ATTORNEY for financial management is given by me, ____________________ (the "Principal"), presently of ____________________, _______________, in the Commonwealth of Virginia, on this 19th day of March, 2018.

Previous Power of Attorney

I REVOKE any previous power of attorney granted by me.

Attorney-in-fact

I APPOINT __________________, of ____________________, ____________________, Virginia, to act as my Attorney-in-fact.

Governing Law

This document will be governed by the laws of the Commonwealth of Virginia. Further, my Attorney-in-fact is directed to act in accordance with the laws of the Commonwealth of Virginia at any time he or she may be acting on my behalf.

Liability of Attorney-in-fact

My Attorney-in-fact will not be liable to me, my estate, my heirs, successors or assigns for any action taken or not taken under this document, except for willful misconduct or gross negligence.

Effective Date

Powers of Attorney-in-fact

My Attorney-in-fact has authority to do anything on my behalf that I may lawfully do by an attorney-in-fact (the "General Power").

Specific Powers

Without restricting its generality in any way, the following power(s) are specifically included within the foregoing General Power:

Initials

X____Real Estate Transactions

To deal with any interest I may have in real property and sign all documents on my behalf concerning my interest, including, but not limited to, real property I may subsequently acquire or receive. These powers include, but are not limited to, the ability to:

i.

Purchase, sell, exchange, accept as gift, place as security on loans, convey with or without covenants, rent, collect rent, sue for and receive rents, eject and remove tenants or other persons, to pay or contest taxes or assessments, control any legal claim in favor of or against me, partition or consent to partitioning, mortgage, charge, lease, surrender, manage or otherwise deal with real estate and any interest therein; and

ii.

Execute and deliver deeds, transfers, mortgages, charges, leases, assignments, surrenders, releases and other instruments required for any such purpose.

X____Maintain Property and Make Investments

To retain any assets owned by me at the date this Durable Power of Attorney becomes effective, and the power to reinvest those assets in similar investments. In addition, my Attorney-in-fact may invest my assets in any new investments, of his or her choosing, regardless of whether or not they are authorized by any applicable legislation.

X____Banking Transactions

To do any act that I can do through an attorney-in-fact with a bank or other financial institution. This power includes, but is not limited to, the power to:

i.

Open, maintain or close bank accounts (including, but not limited to, checking accounts, savings accounts, and certificates of deposit), brokerage accounts, retirement plan accounts, and other similar accounts with financial institutions;

ii.

Conduct any business with any banking or financial institution with respect to any of my accounts, including, but not limited to, making deposits and withdrawals, negotiating or endorsing any checks or other instruments with respect to any such accounts, obtaining bank statements, passbooks, drafts, money orders, warrants, and certificates or vouchers payable to me by any person, firm, corporation or political entity;

iii.

Borrow money from any banking or financial institution if deemed necessary by my Attorney-in-fact, and to manage all aspects of the loan process, including the placement of security and the negotiation of terms;

iv.

Perform any act necessary to deposit, negotiate, sell or transfer any note, security, or draft of the United States of America, including U.S. Treasury Securities;

v.

Have access to any safe deposit box that I might own, including its contents; and

vi.

Create and deliver any financial statements necessary to or from any bank or financial institution.

X____Business Operating Transactions

To take any action my Attorney-in-fact deems necessary with any business that I may own or have an interest in by doing any act which can be done through an attorney-in-fact. This power includes, but is not limited to, the power to execute, seal and deliver any instrument; participate in any legal business of any kind; execute partnership agreements and amendments; to incorporate, reorganize, consolidate, merge, sell, or dissolve any business; to elect or employ officers, directors and agents; and to exercise voting rights with respect to any stock I may own, either in person or by proxy.

X____Insurance Transactions

To do any act that I can do through an attorney-in-fact with any insurance policy. This power includes, but is not limited to, the power to pay premiums, start, modify or terminate policies, manage all cash payouts, borrow from insurers and third parties using insurance policies as collateral, and to change the beneficiaries on any insurance policies on my life. Unless my Attorney-in-fact was already a beneficiary of any policy before the signing of this document, my Attorney-in-fact cannot name himself or herself as a beneficiary of such policy.

X____Claims and Litigation Matters

To institute, maintain, defend, compromise, arbitrate or otherwise dispose of, any and all actions, suits, attachments or other legal proceedings for or against me. This power includes, but is not limited to, the power to: appear on my behalf, and the power to settle any claim against me in whichever forum or manner my Attorney-in-fact deems prudent, and to receive or pay any resulting settlement.

X____Tax Matters

To act for me in all matters that affect my local, state and federal taxes and to prepare, sign, and file documents with any governmental body or agency, including, but not limited to, authority to:

i.

Prepare, sign and file income and other tax returns with federal, state, local and other governmental bodies, and to receive any refund checks; and

ii.

Obtain information or documents from any government or its agencies, and represent me in all tax matters, including the authority to negotiate, compromise, or settle any matter with such government or agency.

X____Government Benefits

To act on my behalf in all matters that affect my right to allowances, compensation and reimbursements properly payable to me by the Government of the United States or any agency or department thereof. This power includes, but is not limited to, the power to prepare, file, claim, defend or settle any claim on my behalf and to receive and manage, as my Attorney-in-fact sees fit, any proceeds of any claim.

X____Retirement Benefit Transactions

To act for me and represent my interests in all matters affecting any retirement savings or pension plans I may have. This power includes, but is not limited to, the power to continue contributions, change contribution amounts, change investment strategies and options, move assets to other plans, receive and manage payouts, and add or change existing beneficiaries. My Attorney-in-fact cannot add himself or herself as a beneficiary unless he or she is already a designated beneficiary as of the signing of this document.

X____Family Care

To make whatever expenditures are required for the maintenance, education, benefit, medical care and general advancement of me, my spouse and dependent children, and other persons that I have chosen or which I am legally required to support, any of which may include my Attorney-in-fact. This power includes, but is not limited to, the power to pay for housing, clothing, food, travel and other living costs.

X____Chattel and Goods Transactions

To purchase, sell or otherwise deal with any type of personal property I may currently or in the future have an interest in. This includes, but is not limited to, the power to purchase, sell, exchange, accept as gift, place as security on loans, rent, lease, to pay or contest taxes or assessments, mortgage or pledge.

X____Estate Transactions

To do any act that I can do through an attorney-in-fact with regard to all matters that affect any trust, probate estate, conservatorship, or other fund from which I may receive payment as a beneficiary. This power includes the power to disclaim any interest which might otherwise be transferred or distributed to me from any other person, estate, trust, or other entity, as may be appropriate. However, my Attorney-in-fact cannot disclaim assets to which I would be entitled, if the result is that the disclaimed assets pass directly or indirectly to my Attorney-in-fact or my Attorney-in-fact's estate.

X____Living Trust Transactions

To transfer any of my assets to the trustee of any revocable trust created by me, if such trust is in existence at the time of such transfer. This property can include real property, stocks, bonds, accounts, insurance policies or other property.

X____Gift Transactions

To make gifts to my spouse, children, grandchildren, great grandchildren, and other family members on special occasions, including birthdays and seasonal holidays, including cash gifts, and to such other persons with whom I have an established pattern of giving (or if it is appropriate to make such gifts for estate planning and/or tax purposes), in such amounts as my Attorney-in-fact may decide in his or her absolute discretion, having regard to all of the circumstances, including the gifts I made while I was capable of managing my own estate, the size of my estate and my income requirements.

X____Charity Transactions

To continue to make gifts to charitable organizations with whom I have an established pattern of giving (or if it is appropriate to make such gifts for estate planning and/or tax purposes), in such amounts as my Attorney-in-fact may decide in his or her absolute discretion, having regard to all of the circumstances, including the gifts I made while I was capable of managing my own estate, the size of my estate and my income requirements.

X____Employ Required Professionals

To appoint and employ any agents, servants, companions, or other persons, including nurses and other health care professionals for my care and the care of my spouse and dependent children, and accountants, attorneys, clerks, workers and others for the management, preservation and protection of my property and estate, at such compensation and for such length of time as my Attorney-in-fact considers advisable.

Attorney-in-fact Compensation

My Attorney-in-fact will receive no compensation except for the reimbursement of all out of pocket expenses associated with the carrying out of my wishes.

Co-owning of Assets and Mixing of Funds

My Attorney-in-fact may not mix any funds owned by him or her in with my funds and all assets should remain separately owned if at all possible.

Personal Gain from Managing My Affairs

My Attorney-in-fact is not allowed to personally gain from any transaction he or she may complete on my behalf.

Delegation of Authority

My Attorney-in-fact may not delegate any authority granted under this document.

Attorney-in-fact Restrictions

This Power of Attorney is not subject to any conditions or restrictions other than those noted above.

Notice to Third Parties

Any third party who receives a valid copy of this Power of Attorney can rely on and act under it. A third party who relies on the reasonable representations of my Attorney-in-fact as to a matter relating to a power granted by this Power of Attorney will not incur any liability to the Principal or to the Principal's heirs, assigns, or estate as a result of permitting the Attorney-in-fact to exercise the authority granted by this Power of Attorney up to the point of revocation of this Power of Attorney. Revocation of this Power of Attorney will not be effective as to a third party until the third party receives notice and has actual knowledge of the revocation.

Severability

If any part of any provision of this document is ruled invalid or unenforceable under applicable law, such part will be ineffective to the extent of such invalidity only, without in any way affecting the remaining parts of such provisions or the remaining provisions of this document.

Acknowledgment

IN WITNESS WHEREOF I hereunto set my hand and seal at the City of ____________________ in the Commonwealth of Virginia, this 19th day of March, 2018.

SIGNED, SEALED, AND DELIVERED

in the presence of:

Witness: ______________________ (Sign)

Witness Name: ______________________

Address: ___________________________

__________________________________

___________________________________

____________________ (Principal)

Witness: ______________________ (Sign)

Witness Name: ______________________

Address: ___________________________

___________________________________

NOTARY ACKNOWLEDGMENT

COMMONWEALTH OF VIRGINIA

COUNTY OF ____________________

The foregoing instrument was acknowledged before me this 19th day of March, 2018, by ____________________.

Power of Attorney Information

Alternate Names:

What is a Power of Attorney?

A Power of Attorney form allows you to appoint another person to act on your behalf should you ever require someone to make short- or long-term decisions for you.

On a Power of Attorney form, the person granting authority to another is the "Principal". The person who is granted authority is called the "Attorney-in-fact" or "Agent".

Which powers can you grant to your attorney-in-fact?

A Power of Attorney document allows you to choose what your personal representative, or attorney-in-fact, will be responsible for by designating certain powers to them. The powers that you can grant your attorney-in-fact include:

Business: To invest, trade, and manage any and all business transactions and decisions, as well as handle any claim or litigation matters.

Finance: To control banking, tax, and government and retirement transactions, as well as living trust and estate decisions. Financial powers also allows your representative to control personal insurance policies and to continue donating to any charities in your stead.

Family: To purchase gifts, employ professionals, and to buy, sell or trade any of your personal property.

General Authority: This grants your personal attorney the authority to make any decisions that you would be able to if you were personally present.

When should you have a Power of Attorney form?

You should consider having a POA if:

You travel out of the country often

You are employed in a hazardous work environment

You have been diagnosed with a serious illness

You have business or property that you would want maintained if you were unavailable

You have children that would need to be provided for if you were to become incapacitated

You want a specific person to be responsible for your affairs

You have rules about how you run your business, property, or life, and you want to ensure they are upheld

You are approaching old age and would like to designate a representative for yourself

Are there different types of Power of Attorney Forms?

Yes, there are four types of POA forms.

General: A general Power of Attorney form allows your representative to manage all of your property-based and financial affairs. This type of POA grants them general authority.

Specific: A specific Power of Attorney form limits your representative's responsibilities to certain types of decisions. You can choose to allow someone to only make decisions in relation to business, for example.

Ordinary: An ordinary Power of Attorney is only valid while you, the principal, are capable of making decisions. This type of POA becomes invalid in the event that you become incapacitated.

Durable: An enduring Power of Attorney is when the contract continues even if you, the principal, become incapacitated.

How should I choose an attorney-in-fact?

To choose an attorney-in-fact, you must consider your options carefully. Aside from your personal preferences, there are also legal requirements for who you select.

Your attorney-in-fact may not:

Be under the age of majority in your state

Currently be in a state of bankruptcy

Be the owner or employee of a care home where the principal resides or receives treatment

You can name more than one attorney-in-fact if you believe that different people will better handle certain decisions or transactions.

You may also name a fiduciary, such as an accountant, lawyer, or other professional as your attorney-in-fact if you wish.

Forms Related to a Power of Attorney:

Living Will/Health Care Directive: A Living Will, or Health Care Directive, specifies your personal medical preferences and dictates what choices you want to be made in the event that you fall ill or become hospitalized.

Last Will and Testament: A Last Will and Testament is what dictates how your assets, debts, properties, and possessions will be distributed when you pass away.

Codicil: A Codicil is a form that allows you to make simple amendments to your existing Last Will and Testament.